Application for Admission to the Undergraduate Certificate in
Literary Translation Studies
Name:
Class Year: Please select:
Major(s):
Email:
Student ID#:
Phone:
CPU Box or Local Address:
Language(s) you speak natively:
1. Completion of at least one UR 200-level language course and one additional upperlevel course in the source language are requirements for admission to the certificate
program. Answer the following questions about your study of languages other
than your native language(s).
Language 1:
Years of university study:
University courses completed and currently enrolled:
Completed:
Currently enrolled:
Other bases for linguistic proficiency outside coursework:
Language 2:
Years of university study:
University courses completed and currently enrolled:
Completed:
Currently enrolled:
Other bases for linguistic proficiency outside coursework:
2. Describe briefly (200 words or fewer) the reasons for your interest in the
Certificate in Literary Translation Studies.
3. Additional materials to be submitted with this application form:

Writing sample: A short essay, story, excerpt from a play, or set of poems
written in English. Your qualifications as a writer will be assessed based
on the material you submit with this form.

A copy of your UR transcript (may be unofficial)